The number of Americans with multiple chronic diseases is growing rapidly. Research studies have established that ongoing care and management of these conditions has two important benefits: improved health/patient quality of life and reduced long-term care costs when crisis care…

Your chronically ill patients receive care as your practice profitability gets some relief! The cost to taxpayers for chronically ill patients is large and growing larger each year. According to the Department of Health and Human Services (HHS) and the…

Dulcian’s Michael Rosenblum and Dr. Paul Dorsey have just completed another book for Oracle Press: Oracle PL/SQL Performance Tuning Tips & Techniques This book present a hands-on approach to enabling optimal results from PL/SQL. The book begins by describing the discovery…

Thirteen years ago I wrote a paper entitled “Top 10 Reasons Why Systems Projects Fail”. This has been my most requested paper. It was used at Harvard which eventually led to my company building the budget and finance system for…

I have lost a lot of projects due the little sentence: “We don’t want to be dependent upon Oracle.” (I just lost another one this week.) It has been used to justify all sorts of crazy decisions such as: Spend millions of…

When I wrote Oracle8 Design for UML Object Modeling in 1998, Martin Fowler was my technical editor. I remember having a very serious discussion with him about whether normalization mattered for UML class diagrams. If you look at Martin’s diagrams in his writings,…

A tip/funny story from our colleague Grigoriy Novikov: There was one project with which I was involved that required a lot of different tools used by a lot of developers with different fields of expertise. The Java developer group was…

We should insist on tools that support good architecture and allow us to build quality systems. There is no reason why systems built today should be harder to build than they were years ago. Just because we moved to the…

Expert PL/SQL Practices for Oracle Developers and DBA’s was released on August 1, 2011. It was written by 15 PL/SQL senior developers and DBAs. Since one of them is my colleague and friend, Michael Rosenblum (Misha), I got the chance to…